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You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together. The Accounts Receivable Specialist (inbound calls) is responsible for the follow up of outstanding Accounts / Receivables of all payers and / or including self - pay and / or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability and includes the ability to interpret and rectify denials.This position is full - time. Employees are required to work any shift between the hours of 10:30 AM - 7:00 PM EST (Eastern Standard Time).We offer 3 weeks training during normal business hours.All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.Primary Responsibilities:
Work EDI transactions and ERA files, including reconciling carrier submissions, edits, and rejection reports
Research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management
Make appropriate decisions on accounts to be worked to maximize reimbursement
Meet productivity standards as outlined in client metrics
Identify any issues or trends and bring them to the attention of management team
Work on special projects as assigned
Train others and quality assurance work of others as assigned
Other duties as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
Must be 18 years of age or older
1+ years of Accounts / Receivable experience, insurance billing, processing and / OR customer service experience within hospital, clinic, primary care, doctor’s office, OR related environment
Working knowledge of hospital Electronic Health Record (EHR) systems including, but not limited to, Epic, Cerner, and / OR Meditech
Experience with using Microsoft Office products
Ability to work any shift between the hours of 10:30 AM - 7:00 PM EST (Eastern Standard Time)
Preferred Qualifications:
2+ years of work experience in healthcare setting, preferably in a hospital
1+ years of experience with insurance denials, appeals, and timely filing guidelines
Bilingual fluency in English and Spanish
Ability to navigate payer portals and internet application
Ability to confirm expected reimbursement per fee schedule
Read and understand explanation of benefits (EOB), and take appropriate next steps toward resolution
Working knowledge of insurance plans and coordination of benefits (COB)
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Physical and Work Environment:
Sitting for long periods of time
Prolonged use of the phone
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 - $28.27 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN
